MR. LAWRENCE GARDNER SANFORD (NPI# 1164609723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164609723 |
| Entity Type | Individual |
| Full Name | MR. LAWRENCE GARDNER SANFORD |
| Practice Address |
800 Hooper Rd Suite 500 Endwell NY 13760-1560 |
| Practice Telephone | 6077572638 |
| Mailing Telephone | 6077572638 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 034384 | NY | Pharmacy Service Providers |
| Street Address |
800 HOOPER RD SUITE 500 |
| City | ENDWELL |
| State | NY |
| Zip Code | 13760-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659368215 | Richard Baron | Internal Medicine | 800 Hooper Rd, Endwell, NY 13760-1560 | 2005-09-29 |
| 1215592878 | Danielle Johnson | Nurse Practitioner | 800 Hooper Rd, Endwell, NY 13760-1592 | 2019-05-08 |
| 1386192318 | Eric Phelan | Physician Assistant | 800 Hooper Rd, Endwell, NY 13760-1592 | 2016-09-20 |
| 1568843803 | Kelvin Lee | Dietitian, Registered | 800 Hooper Rd, Endwell, NY 13760-1560 | 2015-06-12 |
| 1386991099 | Rhiannon Bartleson Foster | Nurse Practitioner | 800 Hooper Rd, Endwell, NY 13760-1560 | 2012-08-13 |
| 1528290061 | Melissa Erin Skiadas | Nurse Practitioner | 800 Hooper Rd, Endwell, NY 13760-1560 | 2009-08-18 |
| 1225267982 | John Bertini | Internal Medicine | 800 Hooper Rd, Endwell, NY 13760-1560 | 2009-07-02 |
| 1437317914 | Thomas Osborne | Internal Medicine | 800 Hooper Rd, Endwell, NY 13760-1560 | 2008-05-30 |
| 1326221466 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 800 Hooper Rd, Suite 500, Endwell, NY 13760-1560 | 2007-12-12 |
| 1205902806 | Rabia Meherwan Mistry | Internal Medicine | 800 Hooper Rd, Endwell, NY 13760-1560 | 2006-11-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745084 | Lori Ann Bullock | Registered Nurse | 816 Martin Street, Endicott, NY 13760 | 2018-10-12 |
| 1295231405 | Michelle Maria Kavanaugh | Technician/Technologist | 3505 Watson Blvd, Endwell, NY 13760 | 2018-04-05 |
| 1619490091 | Lynda Benson Coccia | Counselor | 1635 Union Center Highway, Endicott, NY 13760 | 2017-07-18 |
| 1780038117 | Maliha Suleman | Family Medicine | Lourdes Endicott Primary Care, 415 E. Main St, Endicott, NY 13760 | 2016-04-22 |
| 1851738165 | Charles William Wells | Clinic/Center | 101 Mitchell St Apt 1, A1 Chucks Taxi, Endicott, NY 13760 | 2013-05-28 |
| 1811257991 | Leslie Estelle Eldridge | Licensed Practical Nurse | 700 W. Wendell St, Endicott, NY 13760 | 2012-05-22 |
| 1801176946 | Janet M Dimaria | Physical Therapist | 712 Farm To Market Rd., Endwell, NY 13760 | 2011-08-21 |
| 1629398466 | Elaine Eagan Mcgraw | Social Worker | 715 Paden St., Endicott, NY 13760 | 2010-06-03 |
| 1447497060 | Sarah Jean Krager | Early Intervention Provider Agency | 317 North Roosevelt Avenue, Endicott, NY 13760 | 2009-01-20 |
| 1457504342 | Timothy John Federowicz | Chiropractor | 2911 Watson Blvd., Endicott, NY 13760 | 2008-10-23 |
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| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215259510 | Megan Melissa Serfass | Pharmacist | 800 Hooper Rd Ste 500, Endwell, NY 13760-1588 | 2010-02-28 |
| 1265612089 | John Paul Pecen | Pharmacist | 511 Hooper Rd, Endwell, NY 13760-1907 | 2007-11-08 |
| 1205485992 | Taoran Wang | Pharmacist | 511 Hooper Rd, Endwell, NY 13760-1907 | 2019-09-05 |
| 1558841502 | Gabriella Angela Diecidue | Pharmacist | 800 Hooper Rd Ste 500, Endwell, NY 13760-1588 | 2018-08-20 |
| 1235508680 | Nathan Christopher Wood | Pharmacist | 511 Hooper Rd, Endwell, NY 13760-1907 | 2015-09-16 |
| 1518282730 | Leon Edward Cosler | Pharmacist | 519 Hooper Rd, Medicine Shoppe # 1513, Endwell, NY 13760-1908 | 2010-03-31 |
| 1356664452 | Mireuk Chi | Pharmacist | 511 Hooper Rd, Endwell, NY 13760-1907 | 2010-03-04 |
| 1750563904 | Anthony Donatelli IIi | Pharmacist | 511 Hooper Rd, Endwell, NY 13760-1907 | 2007-11-29 |
| 1821278581 | Virginia L Arciolla | Pharmacist | 511 Hooper Rd, Endwell, NY 13760-1907 | 2007-11-10 |
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| 1275134686 | Chiranjit Kumar Saha | Pharmacist | 6128 Broadway, Woodside, NY 11377-2152 | 2020-11-03 |
| 1437759693 | Anthony So | Pharmacist | 8765 94th St, Woodhaven, NY 11421-2236 | 2020-10-27 |
| 1942809785 | Obaid Zia | Pharmacist | 106 Elm Ln, New Hyde Park, NY 11040-2406 | 2020-10-22 |
| 1235738915 | Vishal Pravinkumar Patel | Pharmacist | 3930 59th St Apt A6, Woodside, NY 11377-3401 | 2020-10-22 |
| 1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
| 1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
| 1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
| 1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.